ethical dilemmas in counseling vignettes

. Running Head: ETHICAL VIGNETTE. Dilemma 20: Has the Psychologist Done Too Much? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Hence, the admission is voluntary. Regulatory boards are the final authority on courses accepted for continuing education credit. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Glover, J. If you were Dr. Jordan, how would you feel about this request? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. With her husband, the patient and the ex-wife? Legal Issues In Counselling Psychotherapy (Ethics In Practice Series) <> Ethical Vignette Paper # Jodi Walters Liberty University. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The patient was in therapy for approximately one year. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. What would be your emotional response to this situation? Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay Divide and Rule? Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . What are the ethical concerns in this scenario? She does not feel right taking a fee larger than her usual and customary rate. <> 1. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. This vignette poses several ethical dilemmas for counselors. The therapist has not worked with the patient for about two years. Your browser either does not support scripting or you have turned scripting off. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. ERIC - ED577207 - School Counselors and Ethical Decision Making Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. In the context of counseling, family includes people related through . Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. She told the student that she would think about the request prior to answering. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. After the session is over, the therapist has time to reflect on her concerns. PDF Trainee Psychological Counselors' Understanding of Ethics - ed How would you advise Dr. Thomas to handle them? Prior to their next session, Dr. Smith calls you for a consultation. Results will be available to you and the patient online. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Both therapists are of the same profession. 4 0 obj Continuing Education & Ethical Resources For Mental Health Professionals. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? Would your answer differ if the advanced directive was created 7 years ago or greater? She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U It was revealed that counsellors prioritise the students' benefit and respect students' privacy. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG February 27, 2023 . Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Dr. Smith is now worried about the entire situation. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. stream Dilemma 35: Initial Telepsychology Session for Free? : ethical dilemmas, burnout, stress, practicing counselors. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu She stated that Dr. Jordan recommended that she write down her memories. During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. (Log in options will check for institutional or personal access. (PDF) Ethical Issues in Counseling Supervision - ResearchGate The therapist expresses her concerns about working with a patient whose father is prescribing medication. PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. What are the potential ethical issues with this case? Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Review each of the scenarios and indicate whether you agree or disagree with the counselors action. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. During the interview, she was told that she would need to work independently, with only limited supervision. During the current session, the confides that he has made a new female friend. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. He thinks that she is young and impressionable. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Dilemma 6: Referral and Treatment Boundaries. Case Vignettes for Review As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. What factors make this situation potentially difficult for you as a therapist? To use suggested categories to consider options for ethical response to the dilemma. The therapist and the attorney-patient meet for the initial session. / ethical dilemmas in counseling vignettes. Is Dr. Tara was offered this position after successfully completing both her practicum and her internship at the center. She actually attended his graduation party briefly and hired him to cut her lawn for two years. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Approaching ethical dilemmas - American Psychological Association During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. The lawyerpatient comments that this seems low. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. When she asks about insurance, he indicates that he will pay in cash. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Dr. Tell contacts you with the above scenario. Dr. Jordan returns the phone call. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. Dr. Thomas wants him to come in immediately for a more indepth evaluation. The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< are Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. The results and implications for counsellors, counsellor educators and researchers are discussed. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. She has been doing much of the case management work, e.g. My company has developed a unique opportunity for you and your associates. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette 1 0 obj The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 7 0 obj Can the client contact Child Protective Services anonymously in this case? Just as he is about to hang up, Buddy says, Thanks. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Ethical Dilemmas in Counseling | Psychology Today United Kingdom A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. PDF Supervision Long Ethics Vignettes - CCFAM Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. She recently received an offer to become a sales representative for a pharmaceutical company. <> The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. endstream His family lives at a distance and provides minimal help. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? What are some actions that you, as the treating therapist, may have done differently? Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. The executor is Mr. Palmers brother, who lives in a different state. When asked about the reason for the referral, she said that her physician had referred her for anxiety. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. He promised to call her back within a week. Refer the matter to the State Board of Psychology. <> How would you feel if you were the consultant? The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. 3. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> xVN0}-m8 During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp The patient has trust issues with his parents, especially his father. The ex-wife moved back to the area about six months ago. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. I encourage you to review our web site. If you were Dr. Miller, what are your emotional reactions to this situation? The therapist cannot remember many details about the patient. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. The ICU staff asks for your input. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. DILEMMA ONE When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. Approaching ethical dilemmas. The therapist ignores the comment and finishes by setting their initial appointment. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. What are the possible downsides to entering the dual relationship? 1LzLxG`kvP@>. The therapist knows her new boss, Mr. Biggy. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. The therapist and the young man have been engaged in psychotherapy for the past 2 years. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Sue schedules the appointment for early in the evening. Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Dr. What obligations does the therapist have to the parent? What are the potential ethical issues in this case? Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. Along with. A therapist is treating a client who is involved in a legal proceeding. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. How would you feel about receiving this request? What are the ethical issues involved in this case? Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. ethical dilemmas in counseling vignettes. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. One day, Dr. Bishop receives a phone call from his contact at the institution. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. If you were the psychologist, what would be your emotion response to this situation? She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. 6 0 obj And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. After some other small talk, Dr. Smith leaves to mingle with other friends. The treatment notes indicate that she dropped out of therapy about one year ago. % The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. The treating therapist believes the options are: What are the possible emotional reactions to this situation? He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills.

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